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North Carolina physicians : medical school training : North Carolina, other U.S. & Canada, and international medical graduates.

North Carolina physicians : medical school training : North Carolina, other U.S. & Canada, and international medical graduates.

LO CA T I ON & HO UR S
In North Carolina, a larger percentage
of IMGs ( 27.4%) list a primary practice
location in a non- metropolitan county
than the physicians who graduated
from US or Canadian schools ( 20.9%),
or NC ( 20.2%). Seven percent ( 7.1%)
of IMGs are located in whole county
Health Professions Shortage Areas
( HPSAs) compared to 2.6% of the
other US and Canadian graduates and
3.4% of the NC graduates.
All physicians, regardless of their
medical school training, work about
41.5 hours per week in clinical care.
FIGURE 2: SPECIALTY CHOICE OF ACTIVE
NC PHYSICIANS BY MEDICAL SCHOOL
PR A C T I C E S E T T I NG
The majority of North Carolina physicians
practice either in a hospital setting ( 20.7%) or
as part of a group ( 40.8%) although there are
considerable variations according to the
location of a physician’s medical school
education. The NC medical school graduates
are more likely to practice in a group office
( 45.9%) than their counterparts from other US
states and Canada ( 40.1%) and IMGs ( 32.0%).
IMGs ( 22.5%) are more likely to practice as a
solo practitioner than NC ( 11.5%) or other US
and Canadian physicians ( 10.7%).
􀁧 See Table 1.
The medical school background of the 17,0901 North Carolina ( NC) physicians
licensed in 2003 is highlighted in this profile. Twenty- seven percent ( 26.9%; 4,565)
graduated from a North
Carolina medical school.
The majority of physicians
practicing in the state
( 62.4%; 10,609),
completed medical school
elsewhere in the US or
Canada. Approximately 11
percent ( 10.7%; 1,815) of
the physicians are
international medical
graduates ( IMGs) who
completed their medical
school training outside the
US and Canada.
􀁧 See Figure 1 and
notes for details.
FIGURE 1: MEDICAL SCHOOL LOCATION OF ACTIVE
LICENSED NORTH CAROLINA PHYSICIANS, 2003
1Medical school data were missing for 101 physicians; percentages are based on the 16,989 physicians
for whom medical school information was available.
IMGs ( 10.7%) North Carolina ( 26.9%)
Other US &
Canada
( 62.4%)
Remaining States
& Canada ( 37.1%)
India ( 2.4%)
Other IMGs ( 8.2%)
UNC ( 11.7%)
Wake Forest ( 6.8%)
Duke ( 4.7%)
ECU ( 3.6%)
NY ( 5.4%)
PA ( 4.9%)
VA ( 4.8%)
OH ( 4.0%)
GA
( 3.1%)
SC
( 3.2%)
Practice Setting % of
NC
% of US &
Canada
% of
IMGs
% of
Total
Solo Practitioner's Office 11.5% 10.7% 22.5% 12.2%
Free- Standing Clinic 6.5% 5.5% 4.5% 5.7%
Group Office 45.9% 40.1% 32.0% 40.8%
Staff or Group Model HMO 0.4% 0.4% 0.2% 0.3%
Hospital 17.8% 22.2% 19.3% 20.7%
Medical School or Parent University 8.4% 10.1% 9.5% 9.6%
Nursing Home/ Extended Care Facility 0.3% 0.3% 0.3% 0.3%
Locum Tenens/ Telemedicine 0.7% 0.7% 1.3% 0.8%
Other 1.9% 1.4% 2.9% 1.7%
%
Missing
9.9%
6.9%
32.7%
0.0%
24.8%
12.9%
0.0%
3.0%
0.0%
Missing 6.5% 8.5% 7.4% 9.9% 7.9%
NOTES: Physicians are active, in- state, nonfederal, nonresident- in- training physicians licensed by the North Carolina Medical Board as of October, 2003. Primary care includes a primary specialty of family practice,
general practice, internal medicine, obstetrics/ gynecology, or pediatrics. The 101 physicians missing medical school information were not included in this profile. The 165 Canadian graduates were grouped with the
U. S. graduates because of their similar training background.
This fact sheet was compiled by the North Carolina Health Professions Data System and the Southeast Regional Center for Health Workforce Studies at the Cecil G. Sheps Center for Health Services Research,
University of North Carolina at Chapel Hill, with data derived from the NC Medical Board, October 2005. This work was supported by the North Carolina Area Health Education Centers ( NC AHEC) Program and
the University of North Carolina Office of the Provost ( Health Affairs).
Each column adds up to 100%. Missing practice setting = 1,348.
TABLE 1: ACTIVE NC PHYSICIAN PRACTICE SETTING BY
LOCATION OF MEDICAL SCHOOL
A G E & GE N D E R
The average age of physicians shows
little variation by medical school
location. For graduates from NC
medical schools the average age is 46.6,
compared to IMGs ( 46.9) and graduates
from other US states and Canada ( 45.7).
Gender distribution is similar across
groups: 25.2% of NC graduates and
23.8% of the other US and Canadian
graduates are women, while the
percentage of female IMGs is 23.6%.
S P E C I A L T Y
IMGs ( 48.0%) are slightly
more likely than physicians
who completed medical school
in- state ( 47.4%) or other US
and Canadian graduates
( 39.4%) to report a primary
care specialty.
See Figure 2 and notes for
definition of primary care. 􀁨
2003 NORTH CAROLINA PHYSICIANS:
MEDICAL SCHOOL TRAINING
North Carolina, Other U. S. & Canada, and International Medical Graduates
Percentage in Specialty
47.4% 48.0%
39.4%
52.0%
60.6%
52.6%
0%
10%
20%
30%
40%
50%
60%
70%
NC US & Canada IMGs
P lace o f M edical School T raining
Primary Care
Specialty
44.9%
41.0%
59.0%
55.1%
0%
10%
20%
30%
40%
50%
60%
70%
NC US & Canada
P lace o f R esidency Training
Primary Care
Specialty
The postgraduate or residency training background of the 17,0902 North Carolina
( NC) physicians licensed in 2003 is highlighted in this profile. Approximately 35%
of the physicians completed their residency training in the state ( 35.3%; 5,861). Of
the NC locations with
accredited residency
training programs, Wake
Forest, Duke, and UNC-Chapel
Hill account for
70.8% of the NC trained
physicians. The majority
of licensed physicians
( 64.7%; 10,731) indicate
having completed their
graduate medical education
( GME) training in other US
states or Canada. A total of
56 physicians reported
training in another country
( not included in this
analysis). 􀁧 See Figure 3
and notes for details.
FIGURE 3: RESIDENCY SCHOOL LOCATION OF ACTIVE
LICENSED NORTH CAROLINA PHYSICIANS, 2003
2Residency data were missing for 442 physicians and 56 foreign residents were excluded; percentages
are based on the 16,592 physicians for whom residency training information was available.
North Carolina
( 35.3%)
L O C A T ION& HO U RS
In North Carolina, physicians who
completed an in- state residency are less
likely than their counterparts trained in
other US States and Canada to practice
in nonmetropolitan counties and Health
Professional Shortage Areas ( HPSAs).
Location of residency training has little
impact on the number of hours per week
spent in clinical care.
A G E & GEND E R
The average age of physicians
trained in NC and practicing in
the state is 45.3 compared to 46.7
years of age for graduates of
other US or Canadian residencies.
A total of 29.3% of the NC
residency trained physicians are
women, compared to 21.3% of
the physicians trained in other
states or Canada.
S P E C I A L T Y
Nearly 45% of the North
Carolina physicians who
completed an in- state residency
indicated a primary care
specialty, compared to 41% of
the physicians who trained out
of state.
See Figure 4 and notes for
definition of primary care. 􀁨
P R A C T I C E S E T T ING
The majority of North Carolina physicians
practice either in a hospital setting ( 20.7%) or
as part of a group office ( 40.8%). NC residency
trained physicians ( 13.1%) are more likely to
practice in a medical school setting than their
US and Canadian trained counterparts ( 7.6%)
and are less likely to be solo practitioners
( 10.0%) than their counterparts ( 13.6%).
􀁧 See Table 2.
Remaining States
& Canada ( 37%)
Duke ( 9.2%)
UNC ( 8.8%)
Wake Forest ( 7.1%)
Charlotte ( 3.0%)
Other US & Canada
( 64.7%)
TABLE 2: ACTIVE NC PHYSICIAN PRACTICE SETTING BY
RESIDENCY TRAINING LOCATION
PA
VA ( 5.0%)
( 4.9%)
NY
( 6.8%)
TX ( 3.4%)
SC ( 3.4%)
Other NC Programs ( 0.9%)
FAHEC ( 0.3%)
Coastal AHEC ( 0.7%)
MAHEC ( 0.9%)
Moses Cone ( 1.2%)
ECU ( 3.2%)
OH ( 3.7%)
Each column adds up to 100%. Missing practice setting = 1,348. Excludes 56 foreign residents.
NOTES: Physicians are active, in- state, nonfederal, nonresident- in- training physicians licensed by the North Carolina Medical Board as of October 2003. Primary care includes a primary specialty of family practice,
general practice, internal medicine, obstetrics/ gynecology, or pediatrics. The 88 physicians who completed training in Canada were grouped with U. S. trained physicians because of their similar training background.
Residency data were missing for 442 physicians; percentages are based on the 16,592 physicians for whom residency information was available. Fifty- six foreign residents are excluded.
This fact sheet was compiled by the North Carolina Health Professions Data System and the Southeast Regional Center for Health Workforce Studies at the Cecil G. Sheps Center for Health Services Research, Uni-versity
of North Carolina at Chapel Hill, with data derived from the NC Medical Board, October 2005. This work was supported by the North Carolina Area Health Education Centers ( NC AHEC) Program and the
University of North Carolina Office of the Provost ( Health Affairs).
2003 NORTH CAROLINA PHYSICIANS:
RESIDENCY TRAINING
North Carolina and Other U. S. & Canada
NC Residency 15.3%
Other US and Canada Residency 24.8%
Part County HPSA
NC Residency 29.3%
Other US and Canada Residency 36.7%
Whole County HPSA
NC Residency 2.5%
Other US and Canada Residency 3.7%
Nonmetropolitan County
FIGURE 4: SPECIALTY CHOICE OF ACTIVENC
PHYSICIANS BY RESIDENCY TRAINING LOCATION
Percentage in Specialty
Practice Setting % of NC
Grads
% of US &
Canada
% of
Total
Solo Practitioner's Office 10.0% 13.6% 12.2%
Free- Standing Clinic 6.6% 5.3% 5.7%
Group Office 39.8% 42.2% 40.8%
Staff or Group Model HMO 0.3% 0.4% 0.3%
Hospital 20.5% 21.0% 20.7%
Medical School or Parent University 13.1% 7.6% 9.6%
Nursing Home/ Extended Care Facility 0.2% 0.3% 0.3%
Locum Tenens/ Telemedicine 0.6% 0.9% 0.8%
Other 2.1% 1.5% 1.7%
Missing 6.9% 7.3% 7.9%
%
Missing
6.6%
4.5%
23.3%
0.2%
17.6%
11.5%
0.0%
0.9%
1.4%
33.9%

LO CA T I ON & HO UR S
In North Carolina, a larger percentage
of IMGs ( 27.4%) list a primary practice
location in a non- metropolitan county
than the physicians who graduated
from US or Canadian schools ( 20.9%),
or NC ( 20.2%). Seven percent ( 7.1%)
of IMGs are located in whole county
Health Professions Shortage Areas
( HPSAs) compared to 2.6% of the
other US and Canadian graduates and
3.4% of the NC graduates.
All physicians, regardless of their
medical school training, work about
41.5 hours per week in clinical care.
FIGURE 2: SPECIALTY CHOICE OF ACTIVE
NC PHYSICIANS BY MEDICAL SCHOOL
PR A C T I C E S E T T I NG
The majority of North Carolina physicians
practice either in a hospital setting ( 20.7%) or
as part of a group ( 40.8%) although there are
considerable variations according to the
location of a physician’s medical school
education. The NC medical school graduates
are more likely to practice in a group office
( 45.9%) than their counterparts from other US
states and Canada ( 40.1%) and IMGs ( 32.0%).
IMGs ( 22.5%) are more likely to practice as a
solo practitioner than NC ( 11.5%) or other US
and Canadian physicians ( 10.7%).
􀁧 See Table 1.
The medical school background of the 17,0901 North Carolina ( NC) physicians
licensed in 2003 is highlighted in this profile. Twenty- seven percent ( 26.9%; 4,565)
graduated from a North
Carolina medical school.
The majority of physicians
practicing in the state
( 62.4%; 10,609),
completed medical school
elsewhere in the US or
Canada. Approximately 11
percent ( 10.7%; 1,815) of
the physicians are
international medical
graduates ( IMGs) who
completed their medical
school training outside the
US and Canada.
􀁧 See Figure 1 and
notes for details.
FIGURE 1: MEDICAL SCHOOL LOCATION OF ACTIVE
LICENSED NORTH CAROLINA PHYSICIANS, 2003
1Medical school data were missing for 101 physicians; percentages are based on the 16,989 physicians
for whom medical school information was available.
IMGs ( 10.7%) North Carolina ( 26.9%)
Other US &
Canada
( 62.4%)
Remaining States
& Canada ( 37.1%)
India ( 2.4%)
Other IMGs ( 8.2%)
UNC ( 11.7%)
Wake Forest ( 6.8%)
Duke ( 4.7%)
ECU ( 3.6%)
NY ( 5.4%)
PA ( 4.9%)
VA ( 4.8%)
OH ( 4.0%)
GA
( 3.1%)
SC
( 3.2%)
Practice Setting % of
NC
% of US &
Canada
% of
IMGs
% of
Total
Solo Practitioner's Office 11.5% 10.7% 22.5% 12.2%
Free- Standing Clinic 6.5% 5.5% 4.5% 5.7%
Group Office 45.9% 40.1% 32.0% 40.8%
Staff or Group Model HMO 0.4% 0.4% 0.2% 0.3%
Hospital 17.8% 22.2% 19.3% 20.7%
Medical School or Parent University 8.4% 10.1% 9.5% 9.6%
Nursing Home/ Extended Care Facility 0.3% 0.3% 0.3% 0.3%
Locum Tenens/ Telemedicine 0.7% 0.7% 1.3% 0.8%
Other 1.9% 1.4% 2.9% 1.7%
%
Missing
9.9%
6.9%
32.7%
0.0%
24.8%
12.9%
0.0%
3.0%
0.0%
Missing 6.5% 8.5% 7.4% 9.9% 7.9%
NOTES: Physicians are active, in- state, nonfederal, nonresident- in- training physicians licensed by the North Carolina Medical Board as of October, 2003. Primary care includes a primary specialty of family practice,
general practice, internal medicine, obstetrics/ gynecology, or pediatrics. The 101 physicians missing medical school information were not included in this profile. The 165 Canadian graduates were grouped with the
U. S. graduates because of their similar training background.
This fact sheet was compiled by the North Carolina Health Professions Data System and the Southeast Regional Center for Health Workforce Studies at the Cecil G. Sheps Center for Health Services Research,
University of North Carolina at Chapel Hill, with data derived from the NC Medical Board, October 2005. This work was supported by the North Carolina Area Health Education Centers ( NC AHEC) Program and
the University of North Carolina Office of the Provost ( Health Affairs).
Each column adds up to 100%. Missing practice setting = 1,348.
TABLE 1: ACTIVE NC PHYSICIAN PRACTICE SETTING BY
LOCATION OF MEDICAL SCHOOL
A G E & GE N D E R
The average age of physicians shows
little variation by medical school
location. For graduates from NC
medical schools the average age is 46.6,
compared to IMGs ( 46.9) and graduates
from other US states and Canada ( 45.7).
Gender distribution is similar across
groups: 25.2% of NC graduates and
23.8% of the other US and Canadian
graduates are women, while the
percentage of female IMGs is 23.6%.
S P E C I A L T Y
IMGs ( 48.0%) are slightly
more likely than physicians
who completed medical school
in- state ( 47.4%) or other US
and Canadian graduates
( 39.4%) to report a primary
care specialty.
See Figure 2 and notes for
definition of primary care. 􀁨
2003 NORTH CAROLINA PHYSICIANS:
MEDICAL SCHOOL TRAINING
North Carolina, Other U. S. & Canada, and International Medical Graduates
Percentage in Specialty
47.4% 48.0%
39.4%
52.0%
60.6%
52.6%
0%
10%
20%
30%
40%
50%
60%
70%
NC US & Canada IMGs
P lace o f M edical School T raining
Primary Care
Specialty
44.9%
41.0%
59.0%
55.1%
0%
10%
20%
30%
40%
50%
60%
70%
NC US & Canada
P lace o f R esidency Training
Primary Care
Specialty
The postgraduate or residency training background of the 17,0902 North Carolina
( NC) physicians licensed in 2003 is highlighted in this profile. Approximately 35%
of the physicians completed their residency training in the state ( 35.3%; 5,861). Of
the NC locations with
accredited residency
training programs, Wake
Forest, Duke, and UNC-Chapel
Hill account for
70.8% of the NC trained
physicians. The majority
of licensed physicians
( 64.7%; 10,731) indicate
having completed their
graduate medical education
( GME) training in other US
states or Canada. A total of
56 physicians reported
training in another country
( not included in this
analysis). 􀁧 See Figure 3
and notes for details.
FIGURE 3: RESIDENCY SCHOOL LOCATION OF ACTIVE
LICENSED NORTH CAROLINA PHYSICIANS, 2003
2Residency data were missing for 442 physicians and 56 foreign residents were excluded; percentages
are based on the 16,592 physicians for whom residency training information was available.
North Carolina
( 35.3%)
L O C A T ION& HO U RS
In North Carolina, physicians who
completed an in- state residency are less
likely than their counterparts trained in
other US States and Canada to practice
in nonmetropolitan counties and Health
Professional Shortage Areas ( HPSAs).
Location of residency training has little
impact on the number of hours per week
spent in clinical care.
A G E & GEND E R
The average age of physicians
trained in NC and practicing in
the state is 45.3 compared to 46.7
years of age for graduates of
other US or Canadian residencies.
A total of 29.3% of the NC
residency trained physicians are
women, compared to 21.3% of
the physicians trained in other
states or Canada.
S P E C I A L T Y
Nearly 45% of the North
Carolina physicians who
completed an in- state residency
indicated a primary care
specialty, compared to 41% of
the physicians who trained out
of state.
See Figure 4 and notes for
definition of primary care. 􀁨
P R A C T I C E S E T T ING
The majority of North Carolina physicians
practice either in a hospital setting ( 20.7%) or
as part of a group office ( 40.8%). NC residency
trained physicians ( 13.1%) are more likely to
practice in a medical school setting than their
US and Canadian trained counterparts ( 7.6%)
and are less likely to be solo practitioners
( 10.0%) than their counterparts ( 13.6%).
􀁧 See Table 2.
Remaining States
& Canada ( 37%)
Duke ( 9.2%)
UNC ( 8.8%)
Wake Forest ( 7.1%)
Charlotte ( 3.0%)
Other US & Canada
( 64.7%)
TABLE 2: ACTIVE NC PHYSICIAN PRACTICE SETTING BY
RESIDENCY TRAINING LOCATION
PA
VA ( 5.0%)
( 4.9%)
NY
( 6.8%)
TX ( 3.4%)
SC ( 3.4%)
Other NC Programs ( 0.9%)
FAHEC ( 0.3%)
Coastal AHEC ( 0.7%)
MAHEC ( 0.9%)
Moses Cone ( 1.2%)
ECU ( 3.2%)
OH ( 3.7%)
Each column adds up to 100%. Missing practice setting = 1,348. Excludes 56 foreign residents.
NOTES: Physicians are active, in- state, nonfederal, nonresident- in- training physicians licensed by the North Carolina Medical Board as of October 2003. Primary care includes a primary specialty of family practice,
general practice, internal medicine, obstetrics/ gynecology, or pediatrics. The 88 physicians who completed training in Canada were grouped with U. S. trained physicians because of their similar training background.
Residency data were missing for 442 physicians; percentages are based on the 16,592 physicians for whom residency information was available. Fifty- six foreign residents are excluded.
This fact sheet was compiled by the North Carolina Health Professions Data System and the Southeast Regional Center for Health Workforce Studies at the Cecil G. Sheps Center for Health Services Research, Uni-versity
of North Carolina at Chapel Hill, with data derived from the NC Medical Board, October 2005. This work was supported by the North Carolina Area Health Education Centers ( NC AHEC) Program and the
University of North Carolina Office of the Provost ( Health Affairs).
2003 NORTH CAROLINA PHYSICIANS:
RESIDENCY TRAINING
North Carolina and Other U. S. & Canada
NC Residency 15.3%
Other US and Canada Residency 24.8%
Part County HPSA
NC Residency 29.3%
Other US and Canada Residency 36.7%
Whole County HPSA
NC Residency 2.5%
Other US and Canada Residency 3.7%
Nonmetropolitan County
FIGURE 4: SPECIALTY CHOICE OF ACTIVENC
PHYSICIANS BY RESIDENCY TRAINING LOCATION
Percentage in Specialty
Practice Setting % of NC
Grads
% of US &
Canada
% of
Total
Solo Practitioner's Office 10.0% 13.6% 12.2%
Free- Standing Clinic 6.6% 5.3% 5.7%
Group Office 39.8% 42.2% 40.8%
Staff or Group Model HMO 0.3% 0.4% 0.3%
Hospital 20.5% 21.0% 20.7%
Medical School or Parent University 13.1% 7.6% 9.6%
Nursing Home/ Extended Care Facility 0.2% 0.3% 0.3%
Locum Tenens/ Telemedicine 0.6% 0.9% 0.8%
Other 2.1% 1.5% 1.7%
Missing 6.9% 7.3% 7.9%
%
Missing
6.6%
4.5%
23.3%
0.2%
17.6%
11.5%
0.0%
0.9%
1.4%
33.9%